农村遭受性侵儿童家庭亲密度与适应性研究

Family cohesion and adaptability among rural children with sexual abuse experience

目的了解农村儿童性侵害发生状况及其与家庭亲密度和适应性的关系,分析可能影响受害儿童家庭功能的因素,为该类人群的创伤后干预提供科学依据。方法采用分层整群抽样方法,在湖北省汉川市和郧西县抽取1 666名农村中学生进行问卷调查,应用多因素Logistic回归分析受害儿童家庭功能的影响因素。结果有175人(10.50%)遭受过非接触性性侵,44人(2.64%)遭受过接触性性侵。与正常儿童相比,受害儿童的家庭亲密度(F=8.97)和适应性均较低(F=4.09)(P值均<0.05)。在性侵害受害儿童中,母亲离家(OR=0.20)与家庭亲密度较差呈正相关,看护人文化水平较高以及恰当的教育方式与家庭亲密度和适应性较低呈负相关(P值均<0.05)。结论农村性侵害儿童的家庭功能不容乐观,其中母亲离家、看护人文化水平较低和采用不合理教育方式家庭中的受害者家庭功能显著较差。应加强对此类儿童的重视,尽可能减小性侵等负性事件对孩子造成的影响。

Objective To understand the prevalence of sexual abuse among rural children and its association with family cohesion and adaptability, and to explore factors that may affect household functions of the victims. Methods A total of 1 666 rural middle school students in Hanchuan and Yunxi, Hubei were recruited with stratified cluster sampling method, multivariate Logistic regression was used to analyze associated factors of the household functions of the victims. Results A total of 175(10.50%) reported non-contact sexual abuse and 44(2.64%) reported contact sexual abuse. Compared with control group, sexual abuse victims reported lower scores of family cohesion(F=8.97,P<0.01) and adaptability(F=4.09,P=0.02). Among the victims, maternal absence was a risk factor for poor family cohesion(OR=0.20,P<0.01), higher parental educational level and appropriate parenting methods(P<0.05) were protective factors for family cohesion and family adaptability. Conclusion Household functions of children sexual abuse victims in rural areas are generally poor, especially for victims with mothers absence, low parental education and improper parenting style. More attention should be paid to such children to minimize the impact of negative events such as sexual abuse.